# DEREK R SLOAN DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DEREK R SLOAN DDS PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023655503
- **Authorized official:** DEREK SLOAN DDS (OWNER)
- **Authorized official phone:** (480) 492-6399

## Contact information

- **Practice address:** 142 E STATE HIGHWAY 260, PAYSON, AZ 85541-4948
- **Practice address phone:** (480) 492-6399
- **Mailing address:** PO BOX 1231, PINE, AZ 85544-1231
- **Mailing address phone:** (480) 492-6399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 12/04/2019